Search › Minnesota › 1041C0700X
Samantha Miller, LICSW, LCSW, LAC
NPI 1588155816 · on the registry since 2018 · sole proprietor
Practice
- Address
- 7485 Mackenzie Ave Ne
Elk River, MN 55330 - Phone
- (701) 645-7456
Additional practice sites
- 211 S 4th St, Grand Forks, ND
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
101YA0400X
101YA0400X - Licence states on file
- MN, ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota